Duodenal diverticulum metastasis from pulmonary squamous cell carcinoma diagnosed by EUS-FNA

A 76-year-old male with pulmonary squamous cell carcinoma achieved complete response by chemoradiotherapy and subsequent systemic chemotherapy. During follow-up, fluorodeoxyglucose positron emission tomography/computed tomography showed strong fluorodeoxyglucose accumulation near the duodenal papill...

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Veröffentlicht in:Clinical journal of gastroenterology 2022-12, Vol.15 (6), p.1061-1066
Hauptverfasser: Sunaga, Koji, Yoshioka, Teppei, Shigekawa, Minoru, Sato, Katsuhiko, Sakamori, Ryotaro, Tatsumi, Tomohide, Ukon, Koto, Morii, Eiichi, Takehara, Tetsuo
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container_end_page 1066
container_issue 6
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container_title Clinical journal of gastroenterology
container_volume 15
creator Sunaga, Koji
Yoshioka, Teppei
Shigekawa, Minoru
Sato, Katsuhiko
Sakamori, Ryotaro
Tatsumi, Tomohide
Ukon, Koto
Morii, Eiichi
Takehara, Tetsuo
description A 76-year-old male with pulmonary squamous cell carcinoma achieved complete response by chemoradiotherapy and subsequent systemic chemotherapy. During follow-up, fluorodeoxyglucose positron emission tomography/computed tomography showed strong fluorodeoxyglucose accumulation near the duodenal papilla. Elevated lesions were observed in the duodenal diverticulum upon lateral-viewing endoscopy, and a curved linear array echoendoscope showed a hypoechoic mass. Since it was difficult to obtain adequate tissue samples by endoscopic biopsy, endoscopic ultrasound-guided fine needle aspiration was performed for the hypoechoic mass. The pathological findings were squamous cell carcinoma, which was similar to the past histology of primary lung cancer. These findings indicated the diagnosis of duodenal diverticulum metastasis from pulmonary squamous cell carcinoma. Duodenal metastasis of pulmonary squamous cell carcinoma is a rare disease, and there have been no reports of duodenal diverticulum metastasis.
doi_str_mv 10.1007/s12328-022-01693-7
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subjects Abdominal Surgery
Case Report
Colorectal Surgery
Gastroenterology
Hepatology
Medicine
Medicine & Public Health
Surgical Oncology
title Duodenal diverticulum metastasis from pulmonary squamous cell carcinoma diagnosed by EUS-FNA
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